Active NPI 1215936034 Individual Practitioner Female Practitioner

Heather Nicole Knutson , NP

Dermatology • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Knutson, NP is a certified Dermatology practicing in Eagle, ID. With approximately 23 years of clinical experience since completing medical education in 2003, Heather Knutson delivers high-quality medical care to the local community at 1605 E RIVERSIDE DRIVE.

Heather Knutson is affiliated with Keller Skin And Cancer Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1605 E Riverside Drive

Eagle, ID 836166237

Telephone 2089396227

Fax 2089396442

Associated Practice Facility / Clinic

🏢 Keller Skin & Cancer Care Pc Facility NPI 1649543323

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Eagle, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +4.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Eagle, ID (63 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Knutson (23 Years) 23 Yrs

Eagle Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,791	253	$31.00	$5.41
99213 Established patient office or other outpatient visit, typically 15 minutes	511	334	$130.00	$74.00
17000 Destruction of skin growth	473	306	$133.00	$49.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	166	$189.00	$105.39
11102 Tangential biopsy of single skin lesion	116	102	$187.00	$78.67
17004 Destruction of precancer skin growth, 15 or more growths	80	50	$528.00	$135.38
17110 Destruction of up to 14 skin growths	62	52	$210.00	$91.20
11103 Biopsy of related skin growth, each additional growth	31	25	$89.00	$40.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$189.00	$90.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$77.00	$45.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,649	227	$31.00	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	494	314	$130.00	$70.65
17000 Destruction of skin growth	428	281	$133.00	$47.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	147	$189.00	$100.23
11102 Tangential biopsy of single skin lesion	121	108	$187.00	$76.82
17004 Destruction of precancer skin growth, 15 or more growths	80	49	$528.00	$130.61
17110 Destruction of up to 14 skin growths	50	38	$210.00	$87.59
11103 Biopsy of related skin growth, each additional growth	45	28	$89.00	$38.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$189.00	$87.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,560	221	$31.00	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	497	319	$130.00	$71.16
17000 Destruction of skin growth	433	278	$133.00	$48.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	122	$189.00	$101.07
11102 Tangential biopsy of single skin lesion	153	126	$187.00	$78.17
17004 Destruction of precancer skin growth, 15 or more growths	68	42	$528.00	$131.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$189.00	$87.67
11103 Biopsy of related skin growth, each additional growth	40	29	$89.00	$39.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$77.00	$43.91
17110 Destruction of up to 14 skin growths	12	12	$210.00	$87.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,841	240	$29.56	$5.09
99213 Established patient office or other outpatient visit, typically 15 minutes	528	333	$127.42	$72.21
17000 Destruction of skin growth	463	290	$127.63	$48.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	133	$184.70	$102.32
11102 Tangential biopsy of single skin lesion	123	105	$178.71	$80.07
17004 Destruction of precancer skin growth, 15 or more growths	87	44	$507.59	$129.37
11103 Biopsy of related skin growth, each additional growth	38	29	$84.53	$41.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$187.64	$88.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,683	212	$28.00	$4.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	330	$180.00	$87.80
17000 Destruction of skin growth	436	273	$121.00	$48.53
99213 Established patient office or other outpatient visit, typically 15 minutes	152	110	$124.37	$59.96
11102 Tangential biopsy of single skin lesion	131	107	$170.00	$79.05
17004 Destruction of precancer skin growth, 15 or more growths	98	59	$480.00	$126.42
11103 Biopsy of related skin growth, each additional growth	47	35	$79.00	$42.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$180.00	$86.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$73.00	$36.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,620	229	$28.00	$4.39
17000 Destruction of skin growth	469	293	$121.00	$47.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	288	$180.00	$87.47
99213 Established patient office or other outpatient visit, typically 15 minutes	309	216	$124.56	$59.56
11102 Tangential biopsy of single skin lesion	168	145	$170.00	$77.47
17004 Destruction of precancer skin growth, 15 or more growths	97	48	$480.00	$120.76
11103 Biopsy of related skin growth, each additional growth	92	55	$79.00	$42.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$180.00	$86.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$73.00	$36.01
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	15	$300.00	$123.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,901	248	$28.00	$4.08
17000 Destruction of skin growth	494	283	$121.00	$48.48
99213 Established patient office or other outpatient visit, typically 15 minutes	421	281	$122.71	$58.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	163	$180.15	$85.82
11100 Biopsy of single growth of skin and/or tissue	154	130	$170.00	$80.82
17004 Destruction of precancer skin growth, 15 or more growths	71	45	$480.00	$113.69
11101 Biopsy of each additional growth of skin and/or tissue	63	43	$79.00	$25.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$180.00	$85.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	50	$73.00	$34.70
69100 Biopsy of ear	14	13	$168.14	$50.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,879	247	$28.00	$4.33
99213 Established patient office or other outpatient visit, typically 15 minutes	562	345	$115.32	$57.83
17000 Destruction of skin growth	512	292	$121.00	$47.62
11100 Biopsy of single growth of skin and/or tissue	186	153	$167.63	$78.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	78	$71.91	$34.30
11101 Biopsy of each additional growth of skin and/or tissue	78	50	$79.00	$25.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$177.91	$84.62
17004 Destruction of precancer skin growth, 15 or more growths	62	40	$480.00	$117.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$179.38	$85.23

Medical Specialties & State Licenses

CMS Verified: 2022-11-03

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License ID NP672A

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare 08/01/09

P00748833 (ID)

Commercial Insurance / Payer ID Np License

NP 672A (ID)

Hospital & Practice Group Affiliations

Keller Skin And Cancer Care Pc

1605 E Riverside Dr, Eagle, ID 836166237

Phone: 2089396227

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Matthew Valley , PA-C

Physician Assistant - Medical

NPI 1447483086

Physician Assistant (Certified)

Angela Coyne , PA

Physician Assistant - Medical

NPI 1538276928

Physician Assistant

Dr. Wade Keller , DO

Dermatology

NPI 1942402169

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dermatology (License #NP672A in ID)

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 1605 E RIVERSIDE DRIVE, EAGLE, ID 836166237 (Tel: (208) 939-6227)

📍

Updated Business Mailing Address March 17, 2018

Registered at 1605 E RIVERSIDE DRIVE, EAGLE, ID 836166237 (Tel: 2089396227)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as HEATHER KNUTSON, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #NP 672-A in ID)

✅

NPI Profile Active September 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2017

Registered at 1605 E RIVERSIDE DRIVE, EAGLE, ID 836166237 (Tel: (208) 939-6227)

📍

Updated Business Mailing Address September 19, 2017

Registered at 1605 E RIVERSIDE DRIVE, EAGLE, ID 836166237 (Tel: 2089396227)

👤

Provider Name / Credentials Updated September 19, 2017

Recorded as HEATHER KNUTSON, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Nurse Practitioner (License #NP 672-A in ID)

📍

Updated Business Mailing Address August 14, 2017

Registered at 1605 E RIVERSIDE DRIVE, EAGLE, ID 83616 (Tel: 2089396227)

✅

NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2016

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

📍

Updated Business Mailing Address April 07, 2016

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

👤

Provider Name / Credentials Updated April 07, 2016

Recorded as HEATHER KNUTSON, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Nurse Practitioner (License #NP 672-A in ID)

🟢

Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215936034

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2005

Last Update: November 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1605 E Riverside Drive

Eagle, ID 836166237

Phone: 2089396227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.